[不纯净的血液:巴西艾滋病背景下的专家、机构和文化权威]。

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-10-05 DOI:10.1590/1413-812320242910.07322023
João Paulo Gugliotti, Lilia Blima Schraiber
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引用次数: 0

摘要

在本文中,我们将从 20 世纪末医学职业化/公司化的背景下审视文化权威的概念,以及自艾滋病毒/艾滋病在圣保罗流行以来其政治和道德轮廓。根据从《圣保罗州报》(1986-1989 年)上收集到的新闻报道,我们试图突出医学专业知识的地位,研究巴西有关该疾病的论述,这些论述显示了社会行动者的出现、对可信度的争论以及受到挑战的临床权威。我们分析了有关艾滋病的公共叙事,确定了权威的位置。我们认为,在性恐慌的背景下,这些论述并不是在治疗/临床权威和行业自身规范的动态之外发生的,这也使医生、专家和其他卫生专业人员在与社会当前疾病的道德语法对话中的作用立即显现出来。这些结论说明了本世纪末巴西医学与艾滋病的地方-全球历史之间的联系,集中反映了对该疾病的科学和道德含义提出质疑的历史和政治运动,这些运动因科学、卫生和临床领域权威之间的冲突而支离破碎。
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[Impure blood: specialists, institutions, and cultural authority in the context of AIDS in Brazil].

In this article, we examine the concept of cultural authority in the context of the professionalization/corporatization of medicine at the end of the 20th century, and its political and moral contours since the HIV/AIDS epidemic in São Paulo. Based on journalistic articles collected from the newspaper O Estado de São Paulo (1986-1989), we seek to highlight the place of medical expertise, examining the discourses produced about the disease in Brazil, in bases that show the emergence of social actors, disputes for credibility and the clinical authority under challenge. We analyze public narratives about AIDS, situating the place of authority. We argue that such discourses, in the context of sexual panic, did not occur outside a dynamic of therapeutic/clinical authority and the profession's own norms, which also immediately made visible the role of physicians, specialists and other health professionals, in dialogue with the moral grammar of the socially current illness. The conclusions illustrate the link between Brazilian medicine at the end of the century and the local-global history of AIDS, concentrating historical and political movements that disputed the scientific and moral meanings of the disease, fractured by the clash between authorities in the scientific, sanitary and clinical fields.

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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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